Which statement by an older female client who lost her spouse two years ago should indicate to the practical nurse (PN) that the client may need bereavement counseling?

"I hate that my health does not allow me to do what I used to do.".

"Sometimes I have trouble remembering simple things.".

"I realize that my life must go on, but sometimes I wonder why.".

"I depend on children who fortunately live close-by.".

Answer and Explanation

The Correct Answer is C

"I realize that my life must go on, but sometimes I wonder why.”

Choice A rationale:

This statement may indicate frustration with physical limitations, which is common in older adults, especially after surgery. It does not necessarily indicate a need for bereavement counseling.

Choice B rationale:

Difficulty remembering simple things can be attributed to normal aging processes or other factors not directly related to bereavement.

Choice C rationale:

Expressing a sense of wondering "why”. after the loss of a spouse suggests ongoing grief and a potential need for bereavement counseling to process feelings and find meaning in life after the loss.

Choice D rationale:

Depending on children who live close-by is a common support mechanism for older adults and does not directly indicate a need for bereavement counseling.

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Correct Answer is A

Explanation

The correct answer is choice A: Never scratch under the cast.

Choice A rationale:

It is important not to scratch under the cast because inserting objects can lead to skin injury and infection. If itching occurs, blowing cool air from a hair dryer into the cast is recommended.

Choice B rationale:

While mild swelling and some discomfort are common after a cast is applied, patients should not expect an increase in pain. Persistent or severe pain could indicate complications such as increased swelling, decreased blood flow, or pressure on nerves and should be evaluated by a healthcare provider.

Choice C rationale:

Applying a cold pack to “hot spots” on the cast is not recommended as it can lead to moisture accumulation and skin problems. Instead, to manage swelling and discomfort, ice can be applied over the cast, covered with a thin towel, for 20 minutes every two hours while awake during the first 48 hours.

Choice D rationale:

Keeping the injured leg in a dependent position is not advised because it can increase swelling and pain. The affected limb should be elevated above the level of the heart to reduce swelling and promote healing.

A. Explain that the healthcare provider probably prescribed a different medication while he is hospitalized. B. Tell the client that the PN will verify that the dispensed medication is the valid prescription. C. Explain that the pharmacy often substitutes generic equivalents for more expensive brands. D. Tell the client that he is probably confused since being hospitalized tends to disorient clients.

Correct Answer is B

Explanation

Tell the client that the PN will verify that the dispensed medication is the valid prescription. Choice A rationale:

Explaining that the healthcare provider probably prescribed a different medication while the client is hospitalized (Choice A) may create confusion or concern for the client. It is essential to reassure the client and take appropriate action to address the discrepancy in the appearance of the medication.

Choice C rationale:

Explaining that the pharmacy often substitutes generic equivalents for more expensive brands (Choice C) is not applicable in this situation since the client is expressing concern about the appearance of the medication prescribed by the healthcare provider, not a substitution by the pharmacy.

Choice D rationale:

Telling the client that he is probably confused since being hospitalized tends to disorient clients (Choice D) is dismissive of the client's concerns. It is crucial to acknowledge the client's observation and address the issue professionally.

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Which statement by an older female client who lost her spouse two years ago should indicate to the practical nurse (PN) that the client may need bereavement counseling?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with a compound fracture of the left ankle is being discharged with a below-the-knee cast. Which instruction should the practical nurse (PN) provide to the client prior to discharge?

Correct Answer is A

Explanation

A male client tells the practical nurse (PN) that the pill he has been taking at home is a different color and size than the one the PN is trying to give him now. How should the PN respond?

Correct Answer is B

Explanation

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